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Clinical and Diagnostic Laboratory Immunology, November 2001, p. 1171-1176, Vol. 8, No. 6
1071-412X/01/$04.00+0   DOI: 10.1128/CDLI.8.6.1171-1176.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.

Distribution of Lymphocyte Subsets in Healthy Human Immunodeficiency Virus-Negative Adult Ethiopians from Two Geographic Locales

Afework Kassu,1,2,3 Aster Tsegaye,1,* Beyene Petros,3 Dawit Wolday,1 Ermias Hailu,1 Tesfaye Tilahun,1 Binyam Hailu,1 Marijke T. L. Roos,4 Arnaud L. Fontanet,1,5 Dörte Hamann,4 and Tobias F. Rinke De Wit1

Ethiopian Health and Nutrition Research Institute-Ethiopian Netherlands AIDS Research Project (EHNRI-ENARP),1 and Department of Biology, Addis Ababa University,3 Addis Ababa, and Department of Microbiology and Parasitology, Gondar College of Medical Sciences, Gondar,2 Ethiopia, and Department of Clinical Viro-Immunology, CLB and Laboratory for Experimental and Clinical Immunology of the University of Amsterdam, 1066 CX Amsterdam,4 and Division of Public Health and Environment (GGGD), Municipal Health Service, 1018 WT Amsterdam,5 The Netherlands

Received 29 May 2001/Returned for modification 20 July 2001/Accepted 13 September 2001

Immunological values for 562 factory workers from Wonji, Ethiopia, a sugar estate 114 km southeast of the capital city, Addis Ababa, Ethiopia, were compared to values for 218 subjects from Akaki, Ethiopia, a suburb of Addis Ababa, for whom partial data were previously published. The following markers were measured: lymphocytes, T cells, B cells, NK cells, CD4+ T cells, and CD8+ T cells. A more in depth comparison was also made between Akaki and Wonji subjects. For this purpose, various differentiation and activation marker (CD45RA, CD27, HLA-DR, and CD38) expressions on CD4+ and CD8+ T cells were studied in 60 male, human immunodeficiency virus-negative subjects (30 from each site). Data were also compared with Dutch blood donor control values. The results confirmed that Ethiopians have significantly decreased CD4+ T-cell counts and highly activated immune status, independent of the geographic locale studied. They also showed that male subjects from Akaki have significantly higher CD8+ T-cell counts, resulting in a proportional increase in each of the CD8+ T-cell compartments studied: naïve (CD45RA+CD27+), memory (CD45RA-CD27+), cytotoxic effector (CD45RA+CD27-), memory/effector (CD45RA-CD27-), activated (HLA-DR+CD38+), and resting (HLA-DR-CD38-). No expansion of a specific functional subset was observed. Endemic infection or higher immune activation is thus not a likely cause of the higher CD8 counts in the Akaki subjects. The data confirm and extend earlier observations and suggest that, although most lymphocyte subsets are comparable between the two geographical locales, there are also differences. Thus, care should be taken in extrapolating immunological reference values from one population group to another.


* Corresponding author. Mailing address: Ethiopian Health and Nutrition Research Institute-Ethiopian Netherlands AIDS Research Project (EHNRI-ENARP), P.O. Box 1242, Addis Ababa, Ethiopia. Phone: 00-251-1-765266 or 00-251-1-130642. Fax: 00-251-1-756329. E-mail: aster{at}enarp.com.


Clinical and Diagnostic Laboratory Immunology, November 2001, p. 1171-1176, Vol. 8, No. 6
1071-412X/01/$04.00+0   DOI: 10.1128/CDLI.8.6.1171-1176.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.



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